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Tenants Renewal Questionnaire


By taking a few minutes to fill out and return this brief checklist, you can help make sure that your insurance coverage is up-to-date and complete. Information submitted will be held confidential and will be used for renewal purposes only. Submission of information does not obligate you to purchase any product or insurance, nor does it represent any agreement to provide coverage under any insurance policy.

First Name
Required
Last Name
Required
Street
Required
City
Required
Province
Required
ZIP / Postal Code
Required
Primary Phone Number
Required
Alternate Phone Number
Optional
E-Mail Address
Required
Would you like to increase the limit of contents you currently insure beyond the standard inflationary increase?
Required

If you answered Yes above, please provide comments below.
Have you started a business out of your residence?
Required

Have you purchased valuable jewelry in the last year that you wish to schedule?
Required

Would you consider increasing your deductibles to lower your premium?
Required

What security measures are in place at your building?
Required

Are you a non-smoking household?
Required

Please confirm your date(s) of birth
Required
Additional Comments
Optional
Submission Validation
Required
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.
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